Individual
JORDAN MAURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2500 NORTH STATE STREET, JACKSON, MS 39216
(601) 984-1000
Mailing address
743 S CHURCH AVE, LOUISVILLE, MS 39339
(662) 803-6649
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/27/2023
Last updated
03/30/2023
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